| NPI | 1013912989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 203287) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 60591) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |